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NPI Code Detail

MEDICARE: TRIUMPH HOSPITAL OF NORTHWEST, LP

MEDICARE: TRIUMPH HOSPITAL OF NORTHWEST, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282E00000XLong Term Care Hospital007926TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2HH1024OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1093715609
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIUMPH HOSPITAL OF NORTHWEST, LP
Provider Business Mailing Address
First Line : 7333 NORTH FWY STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77076-1322
Country : US
Telephone Number : 713-807-8686
Fax Number : 713-807-8604
Provider Business Practice Location Address
First Line : 205 HOLLOW TREE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2801
Country : US
Telephone Number : 713-807-8686
Fax Number : 713-807-8604
Authorized Official
Title or Position : VP COMPLIANCE AND QUALITY
Name : MS. VIRGINIA LEE LANFORD
Credential : RN MBA
Telephone Number : 713-807-8686
Provider Enumeration Date : 07/26/2005
Last Update Date : 10/08/2010

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